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Options - Oilfield Services - Halliburton Using...n Pharmacy information and database ... — Access...

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Options Reimbursement n Direct reimbursement to the provider n Reimbursement in US dollars or local currency n Electronic funds transfer to a bank account in a number of international locations* n Check mailed to your US (or Canadian) bank account n Wire transfer to your bank account outside the US * Check the secure Member Web site for a list of participating countries. for Support and Assistance Resources n Global medical and dental referrals n Direct access to multilingual medical advice and consultation by phone n Appointment and admission assistance n Expert second opinions via eCleveland Clinic n Emergency prescription services from your location n Online PIN generation n Secure email to and from Customer Service n Health & Wellness content and resources n Access to International Provider Directory n Pharmacy information and database n Country Guides for 190+ countries n Access to claims data and eligibility n Online Explanation of Benefits to Secure Web Site: Access www.cigna.com/expatriates “CIGNA” refers to CIGNA Corporation and/or one or more of its subsidiaries. CIGNA International and CIGNA International Expatriate Benefits (“CIEB”) refer to these subsidiaries and affiliates. Products and services are provided by these subsidiaries, affiliates and other contracted companies and not by CIGNA Corporation. “CIGNA” is also a registered service mark. #621426 Revised 07/06
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OptionsReimbursementn Directreimbursementtotheprovider

n ReimbursementinUSdollarsorlocalcurrency

n Electronicfundstransfertoabankaccountinanumberofinternationallocations*

n CheckmailedtoyourUS(orCanadian)bankaccount

n WiretransfertoyourbankaccountoutsidetheUS

* Check the secure Member Web site for a list of participating countries.

for Support and AssistanceResourcesn Globalmedicalanddentalreferrals

n Directaccesstomultilingualmedicaladviceandconsultationbyphone

n Appointmentandadmissionassistance

n ExpertsecondopinionsviaeClevelandClinic

n Emergencyprescriptionservicesfromyourlocation

n OnlinePINgeneration

n SecureemailtoandfromCustomerService

n Health&Wellnesscontentandresources

n AccesstoInternationalProviderDirectory

n Pharmacyinformationanddatabase

n CountryGuidesfor190+countries

n Accesstoclaimsdataandeligibility

n OnlineExplanationofBenefits

to Secure Web Site:Accesswww.cigna.com/expatriates

“CIGNA” refers to CIGNA Corporation and/or one or more of its subsidiaries. CIGNA International and CIGNA International Expatriate Benefits (“CIEB”) refer to these subsidiaries and affiliates. Products and services are provided by these subsidiaries, affiliates and other contracted companies and not by CIGNA Corporation. “CIGNA” is also a registered service mark.

#621426Revised07/06

n Youmayreceiveservicesfromanyhospital,clinic,doctorordentistworldwide.

n Ifyoudon’thavearelationshipwithahealthcareproviderandareexperiencing

symptoms,pleasecallCustomerServicesothatyoucanspeakwithaknowledgeable

physician,receiveamedicalassessment,andbereferredtothemostappropriate

providerforyourconditionandlocation.

n Werecommendyouestablishrelationshipswithhealthcareprovidersinyour

locationinadvanceofrequiringcare.Toassistyou,we’vecreatedadirectoryof

pre-screenedprimarycarephysicians,dentistsandfull-servicehospitalsformore

than450cities,availableonourMemberWebsite.Additionalproviderreferrals,

includingspecialists,canbeobtainedbycontactingCustomerService.

n Sourcesforidentifyingproviders:

1.CIGNA’sInternationalProviderDirectory.

—Accesstothousandsofprescreeneddoctors,dentists,hospitals,clinics.

—AccessthedirectoryatthesecureMemberWebsite:

www.cigna.com/expatriates

—CallCustomerService,24hoursaday/7daysaweek:

–Pleaseusethetoll-freenumberindicatedonyourIDcard

(ifdialinginternationally,usethatcountry’sAT&TDirect®accessnumber)

–Or,callthelocaldirectnumberindicatedonyourcard

(reversethecharges)

2.CIGNA’sPreferredProviderDirectoryintheUS(alsoontheCIEBMemberWebsite).

a ProviderChoosing a ClaimFiling

your CIGNA ID CardUsing n WhenyoureceiveyourCIGNAInternationalIDCard:

—Verifythatyourinformationiscorrect.

—CallCustomerService,24/7,ifsomethingneedstobechanged.

n PresentyourIDCardwhenyoureceiveservicesfromaprovider.

n Ifyouneedassistancewithpayingforservices,don’thesitatetocontactus.

EachyearCIGNAmakestensofthousandsofpaymentsdirectlyto

internationalproviders.

n ProvidersmayalsocallCIGNAInternationalCustomerServicetoverifycoverage.

n YourprovidermayfileaclaimdirectlywithCIGNAInternationalandchargeyoufor

yourportionofthecharges.

n Yourprovidermayrequireyoutopayforservicesatthetimetheyarereceived.

Inthiscase,youfileaclaimwithCIGNAInternationalforreimbursement.

n Tofileaclaimyourself:

—ObtainaCIGNAInternationalclaimform:Onestandardformformedical,

dentalandprescriptiondrugclaims(availablein12languages,including

English).

—UsetheformincludedinyourMemberInformationKit(Englishisstandard).

—DownloadtheformdirectlyfromthesecureMemberWebsite:

www.cigna.com/expatriates

—CallCustomerServiceforaclaimform.

n CompletetheformandfaxittoCustomerServiceatourtoll-freefax:

AT&TDirectAccessCode+1-800-243-6998,or1-302-797-3150,or

n ScanyourcompletedclaimformandemailitdirectlytoCustomerService(emails

withattachedclaimsmustbesentthroughthesecureMemberWebsite,toprotect

yourprivacy).

n Claimssubmittedareusuallyprocessedwithin10businessdaysafterreceiptof

completedform.

n Claimsmaybesubmittedupto18monthsafterdateofservice.

n Tipstospeedclaimprocessing:

—Besuretofillouttheclaimformcompletely(anincompleteformmay

delayprocessing).

—Provideadiagnosisorexplanationoftreatmentontheclaimform.

—Statehowandwhereyouwantthereimbursementissued.

—Emailorfaxyourforminsteadofmailingit.

—Savecopiesofyourbills,receiptsandclaimforms.


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